Department of Public Health Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA.
University of Miami Sylvester Comprehensive Cancer Center, Miami, Florida, USA.
J Psychosoc Oncol. 2023;41(2):137-149. doi: 10.1080/07347332.2022.2067804. Epub 2022 Apr 29.
Examine the impact of the primary-support person (PSP) role on advanced cancer patient and spouse caregiver psychological well-being, above and beyond the effects of relationship satisfaction. Secondary analysis of cross-sectional questionnaire data. 88 advanced cancer patient/spouse-caregiver dyads. Patients and caregivers independently completed measures assessing depression, anxiety, perceived stress, and relationship satisfaction, and identified their PSP. Patient and caregiver psychological well-being outcomes were regressed on patient and caregiver PSP variables in an actor-partner interdependence model. Half of patients identified their caregiver as PSP; 9% of caregivers identified their patient as PSP. When caregivers identified their patient as PSP, the patient reported better outcomes. No associations were seen for patient identification of caregiver as PSP or caregiver well-being. Clinicians can encourage patients to find ways to continue to focus on their relationship with the caregiver and help caregivers connect with other sources of support.
探讨主要照顾者（PSP）角色对晚期癌症患者和配偶照顾者心理幸福感的影响，超越关系满意度的影响。对横断面问卷调查数据的二次分析。88 对晚期癌症患者/配偶照顾者对。患者和照顾者分别完成了评估抑郁、焦虑、感知压力和关系满意度的措施，并确定了他们的 PSP。在个体-伴侣相互依存模型中，将患者和照顾者 PSP 变量回归到患者和照顾者心理幸福感结果中。一半的患者将他们的照顾者确定为 PSP；9%的照顾者将他们的患者确定为 PSP。当照顾者将他们的患者确定为 PSP 时，患者报告了更好的结果。没有看到患者将照顾者确定为 PSP 或照顾者幸福感的关联。临床医生可以鼓励患者寻找继续关注与照顾者关系的方法，并帮助照顾者与其他支持来源建立联系。
